New Labs

[Guest guest]

Hi Beth

I think t3 uptake is not the same as total t3 which is the one you need.

Sky

To: RT3 Group <RT3_T3 >Sent: Tue, 12 January, 2010 1:03:21 PMSubject: New Labs

Hi all,

I am 6 weeks into T3 only with SRT3. Overall, feeling better and temps slowly improving. Got my new labs today, but they didn't give Free T3, only T3 Uptake. I know there is a different ratio if you don't have FT3 reading to calculate a ratio where it needs to be above 10. Is that using the T3 Uptake? Could someone give me some help with this?

My labs 6 weeks ago were:

FT3: 325 (230-420) pg/dL

T3 Uptake: 32..5 (27.8-40.7)

RT3: 32 (11-32) ng/dL

FT3/RT3 ratio: 10.15 indicating reverse t3 problem because not above 20.

My latest labs are:

T3 Uptake: 28.5 (27.8 - 40.7)

RT3: 19 (11-32) ng/dL

Is this a ratio of T3/RT3 of 1..5? Looks like RT3 has improved, but ratio (if I did it correctly using T3 Uptake) needs to be above 10 to resolve RT3 dominance. Is that right? Any help is appreciated.

Thanks,

Beth S.

See what's on at the movies in your area. Find out now.

[Guest guest]

" T3 Resin Uptake or Thyroid Uptake. This is a test that confuses

doctors, nurses, and patients. First, this is not a thyroid test, but a

test on the proteins that carry thyroid around in your blood stream. Not

only that, a high test number may indicate a low level of the protein!

The method of reporting varies from lab to lab. The proper use of the

test is to compute the free thyroxine index. *We no longer perform this

test in our labs. "

From this site:

http://amarillomed.squarespace.com/howto/#Thyroid

NO you cannot calculate the Rt3 ratio using T3 Uptake. It MUST be FT3 or

TT3. As the above states the T3 Uptake test is not onyl NOT of thyroi

dhormones, but also OBSOLETE.

*

--

Artistic Grooming- Hurricane WV

http://www.stopthethyroidmadness.com/

http://health.groups.yahoo.com/group/NaturalThyroidHormonesADRENALS/

http://health.groups.yahoo.com/group/RT3_T3/

http://groups.yahoo.com/group/HypoPets/

[Guest guest]

Val,

Is there anything that can be gleaned from these latest labs to let me know how things are progressing? Since my RT3 decreased from 34 to 19, isn't that a good sign?

Thanks,

Beth

To: RT3_T3 Sent: Tue, January 12, 2010 4:09:32 AMSubject: Re: New Labs

"T3 Resin Uptake or Thyroid Uptake. This is a test that confuses doctors, nurses, and patients. First, this is not a thyroid test, but a test on the proteins that carry thyroid around in your blood stream. Not only that, a high test number may indicate a low level of the protein! The method of reporting varies from lab to lab. The proper use of the test is to compute the free thyroxine index. *We no longer perform this test in our labs."From this site:http://amarillomed. squarespace. com/howto/ #ThyroidNO you cannot calculate the Rt3 ratio using T3 Uptake. It MUST be FT3 or TT3. As the above states the T3 Uptake test is not onyl NOT of thyroi dhormones, but also OBSOLETE.*-- Artistic Grooming- Hurricane WVhttp://www.stopthet hyroidmadness. com/http://health. groups.yahoo. com/group/ NaturalThyroidHo rmonesADRENALS/http://health. groups.yahoo. com/group/ RT3_T3/http://groups. yahoo.com/ group/HypoPets/

[Guest guest]

Val,

Thanks for the clarification about what T3 Uptake means. I am copying my new

labs below. Is there anything that can be gleaned from these latest labs to let

me know how things are progressing even though the lab failed to report the

FT3?  Since my RT3 decreased from 34  to 19, isn't that a good sign?

Thanks,

Beth

I am 6 weeks into T3 only with SRT3. Overall, feeling better and temps slowly

improving. Got my new labs today, but they didn't give Free T3, only T3 Uptake.

I know there is a different ratio if you don't have FT3 reading to calculate a

ratio where it needs to be above 10. Is that using the T3 Uptake? Could

someone give me some help with this?

My labs 6 weeks ago were:

FT3: 325 (230-420) pg/dL

T3 Uptake: 32.5 (27.8-40.7)

RT3: 32 (11-32) ng/dL

TSH: .06

FT3/RT3 ratio: 10.15 indicating reverse t3 problem because not above 20.

My latest labs are:

T3 Uptake: 28.5 (27.8 - 40.7)

RT3: 19 (11-32) ng/dL

TSH: 2.22

[Guest guest]

You lowered RT3 so that is a good hting., That is reall yALL you can

tell form these labs,

--

Artistic Grooming- Hurricane WV

http://www.stopthethyroidmadness.com/

http://health.groups.yahoo.com/group/NaturalThyroidHormonesADRENALS/

http://health.groups.yahoo.com/group/RT3_T3/

http://groups.yahoo.com/group/HypoPets/

[Guest guest]

Bumping up for a response?

>

> ok I have some new labs. Looking for feedback. I also have a new endo (Dr

friedman here in LA) and we are working at this slowly. Last labs (dec

2009)showed a high RT3 problem. And I am a bad converter from T4 to t3.

>

> The last 6 weeks I have switched to a combination of 50mcg levoxyl and 1 grain

of NT (split) - conservative to see how I do on NT. The 50mcg semed to be too

much so I downgraded to 25mcg levoxyl because I was still gaining weight and

losing hair. I know I am probably underdosed but he wanted to see how I reacted

after 6 weeks. Let me say I tried t3 alone and could not tolerate and I tried

levoxyl and T3 and could not tolerate for whatever reason.

>

> Thyroid labs

>

> Feb 2010

> THS 1.090 (0.450-4.500)

> Free T4 1.11 (0.82-1.77)

> Reverse T3 177 (90-350)

> Free T3 2.5 (2.0-4.4) - know I am still low here and still hypo.

> I am having trouble with calc my RT3 ratio would it be 1 or is it 14? Decimal

place is screwing me up

>

> December 2090

> TSH 1.04 (0.4-4.5)

> Free T4 1.5 (0.8-1.8)(never feel good above 1.4)

> Free T3 253 (230-420)

> Reverse T3 52H (11-32) - a different measure I know

> RT3 ratio of 5?

>

> My ferritin ratio in December was 60. I also showed low in testosterone and

Dr. Friedman said testosterone was needed for conversion so I am on some of

that. My progesterone tested on the high end 915 (less than 10-2555). But I was

supplementing a small amount, I mean really small and I find it hard to believe

it was driving it up so much.

>

> Ifeel like I might be low is estrogen and will have it tested but some of my

headaches are due to the drop in estrogen at ovulation and period. And I am

struggling through my period each month.

>

> Does high progesterone/low testosterone point to insulin resistance?

>

> I do know that my SHBG has gone up from 27 to 39. Iknow low SHBG is indicatove

of insulin resistance. I also red that higher does of thyroid raise

SHBG...maybe its gone too high

>

> Some signs point below to diabetes or insulin resistance which I have tested

for a year ago borderline. My fasting glucose is below

>

> Changes in Glucose since starting NT

> Feb 2010 70 (70-110) - post NT - hope I am not hypoglycemic as a precursor

to diabetes

>

> Dec 2090 91 (65-99) - pre NT

>

> I do have that fat around the middle but fasting insulin in Dec was 7 (range

of less than 17) so it looked ok...but I know fasting can be misleading. Can the

addition of NT change things so drastically? And at such a low dose? My AC1 is

5.5 in which non diabetic is less than 6.0 but I do know that I am likely

glucose impaired and insulin resistant because of a test over a year ago that

the doc will not repeat.

>

> Latley I struggle with significant headaches and muscle spasms (could be a

pinched nerve) but I wonder if also could be hypothyroid and or metabolic

acidosis (ie insulin resistance)

>

> Ok some more tests that I find intereting as it relates to muscle spasms etc.

>

> Electrolytes

> Feb 2010

> Sodium 140 (135-145)

> Potassium 3.8 (3.5-5.0)

> Also my chloride tested low at 97 (range of 101-111)..I looked up low chloride

and it could mean adrenal deficiency (possibly right), intestal obstruction (not

likley) or metabolic acidosis with diabetes (also possible) - back to the

insulin resistant issue.

>

> December 2090

> Sodium 141

> Potassium 4.3

>

> Look at the change since starting NT. I especially struggle with fluid issues

around my menstrual cycle.

>

> They also checked something called an anion gap which tested at 18. Apparently

normal is 9. HIgh anion gap means metabolic acidosis. I am too acidic?

Although iron supplementation can also raise the anion gap as does aspirin. But

it also says that low sodium and potatssium and calcium and magnesium which I am

low in all can cause a high anion gap. BUt why am I so low in all these

minerals/electrolytes?

>

> What also worried me was the rise in liver enzymes

>

> Feb 2010

> ALT 23 (less 46)

> AST 42 Less than 53)

>

> Decemeber 2009 -ranges are slightly different)

> ALT 13 (6-40)

> AST 12 (10-35)

>

> I have guessed for some time that my liver is sluggish and I know it gets

worse the more hypo you are. And I need to do something to clear it. I know B

vitamins are important to liver and thyroid but I have to tell you I have a hard

time tolerating them as they hit my system and the muscle spasms start. Any

suggestion on improving the liver?

>

> Last I believe that I do have a candida issue. I'll be honest my diet has

been crap and I mean crap! Especially over the holidays. Too many sweets.

Candida can throw off everything right? Thryoid, liver, sex hormones? Plus I

just finished a round of prednisone for the cluster headaches which did not help

the candida situation.

>

> Ok I know this was a lot but I appreciate any information.

>

[Guest guest]

Trying one more time.

> >

> > ok I have some new labs. Looking for feedback. I also have a new endo (Dr

friedman here in LA) and we are working at this slowly. Last labs (dec

2009)showed a high RT3 problem. And I am a bad converter from T4 to t3.

> >

> > The last 6 weeks I have switched to a combination of 50mcg levoxyl and 1

grain of NT (split) - conservative to see how I do on NT. The 50mcg semed to be

too much so I downgraded to 25mcg levoxyl because I was still gaining weight and

losing hair. I know I am probably underdosed but he wanted to see how I reacted

after 6 weeks. Let me say I tried t3 alone and could not tolerate and I tried

levoxyl and T3 and could not tolerate for whatever reason.

> >

> > Thyroid labs

> >

> > Feb 2010

> > THS 1.090 (0.450-4.500)

> > Free T4 1.11 (0.82-1.77)

> > Reverse T3 177 (90-350)

> > Free T3 2.5 (2.0-4.4) - know I am still low here and still hypo.

> > I am having trouble with calc my RT3 ratio would it be 1 or is it 14?

Decimal place is screwing me up

> >

> > December 2090

> > TSH 1.04 (0.4-4.5)

> > Free T4 1.5 (0.8-1.8)(never feel good above 1.4)

> > Free T3 253 (230-420)

> > Reverse T3 52H (11-32) - a different measure I know

> > RT3 ratio of 5?

> >

> > My ferritin ratio in December was 60. I also showed low in testosterone and

Dr. Friedman said testosterone was needed for conversion so I am on some of

that. My progesterone tested on the high end 915 (less than 10-2555). But I was

supplementing a small amount, I mean really small and I find it hard to believe

it was driving it up so much.

> >

> > Ifeel like I might be low is estrogen and will have it tested but some of my

headaches are due to the drop in estrogen at ovulation and period. And I am

struggling through my period each month.

> >

> > Does high progesterone/low testosterone point to insulin resistance?

> >

> > I do know that my SHBG has gone up from 27 to 39. Iknow low SHBG is

indicatove of insulin resistance. I also red that higher does of thyroid raise

SHBG...maybe its gone too high

> >

> > Some signs point below to diabetes or insulin resistance which I have tested

for a year ago borderline. My fasting glucose is below

> >

> > Changes in Glucose since starting NT

> > Feb 2010 70 (70-110) - post NT - hope I am not hypoglycemic as a precursor

to diabetes

> >

> > Dec 2090 91 (65-99) - pre NT

> >

> > I do have that fat around the middle but fasting insulin in Dec was 7 (range

of less than 17) so it looked ok...but I know fasting can be misleading. Can the

addition of NT change things so drastically? And at such a low dose? My AC1 is

5.5 in which non diabetic is less than 6.0 but I do know that I am likely

glucose impaired and insulin resistant because of a test over a year ago that

the doc will not repeat.

> >

> > Latley I struggle with significant headaches and muscle spasms (could be a

pinched nerve) but I wonder if also could be hypothyroid and or metabolic

acidosis (ie insulin resistance)

> >

> > Ok some more tests that I find intereting as it relates to muscle spasms

etc.

> >

> > Electrolytes

> > Feb 2010

> > Sodium 140 (135-145)

> > Potassium 3.8 (3.5-5.0)

> > Also my chloride tested low at 97 (range of 101-111)..I looked up low

chloride and it could mean adrenal deficiency (possibly right), intestal

obstruction (not likley) or metabolic acidosis with diabetes (also possible) -

back to the insulin resistant issue.

> >

> > December 2090

> > Sodium 141

> > Potassium 4.3

> >

> > Look at the change since starting NT. I especially struggle with fluid

issues around my menstrual cycle.

> >

> > They also checked something called an anion gap which tested at 18.

Apparently normal is 9. HIgh anion gap means metabolic acidosis. I am too

acidic? Although iron supplementation can also raise the anion gap as does

aspirin. But it also says that low sodium and potatssium and calcium and

magnesium which I am low in all can cause a high anion gap. BUt why am I so low

in all these minerals/electrolytes?

> >

> > What also worried me was the rise in liver enzymes

> >

> > Feb 2010

> > ALT 23 (less 46)

> > AST 42 Less than 53)

> >

> > Decemeber 2009 -ranges are slightly different)

> > ALT 13 (6-40)

> > AST 12 (10-35)

> >

> > I have guessed for some time that my liver is sluggish and I know it gets

worse the more hypo you are. And I need to do something to clear it. I know B

vitamins are important to liver and thyroid but I have to tell you I have a hard

time tolerating them as they hit my system and the muscle spasms start. Any

suggestion on improving the liver?

> >

> > Last I believe that I do have a candida issue. I'll be honest my diet has

been crap and I mean crap! Especially over the holidays. Too many sweets.

Candida can throw off everything right? Thryoid, liver, sex hormones? Plus I

just finished a round of prednisone for the cluster headaches which did not help

the candida situation.

> >

> > Ok I know this was a lot but I appreciate any information.

> >

>

[Guest guest]

Nick is on a business trip so he will be on when he can to answer questions. If you can't tolerate T3, my first suggestion would be to have your adrenals tested with a 24 hour saliva test (4 collections during a 24 hour period) because if your adrenals aren't working properly then you can't tolerate the T3. Also your ferritin needs to be 70-90 for your body to use T3, so you need to get yours to increase still and then re-try the T3 again.

From: shelleywatson2

Sent: Monday, February 15, 2010 12:52 PM

To: RT3_T3

Subject: Re: New labs

Trying one more time.> >> > ok I have some new labs. Looking for feedback. I also have a new endo (Dr friedman here in LA) and we are working at this slowly. Last labs (dec 2009)showed a high RT3 problem. And I am a bad converter from T4 to t3. > > > > The last 6 weeks I have switched to a combination of 50mcg levoxyl and 1 grain of NT (split) - conservative to see how I do on NT. The 50mcg semed to be too much so I downgraded to 25mcg levoxyl because I was still gaining weight and losing hair. I know I am probably underdosed but he wanted to see how I reacted after 6 weeks. Let me say I tried t3 alone and could not tolerate and I tried levoxyl and T3 and could not tolerate for whatever reason. > > > > Thyroid labs> > > > Feb 2010> > THS 1.090 (0.450-4.500)> > Free T4 1.11 (0.82-1.77)> > Reverse T3 177 (90-350)> > Free T3 2.5 (2.0-4.4) - know I am still low here and still hypo. > > I am having trouble with calc my RT3 ratio would it be 1 or is it 14? Decimal place is screwing me up > > > > December 2090> > TSH 1.04 (0.4-4.5)> > Free T4 1.5 (0.8-1.8)(never feel good above 1.4)> > Free T3 253 (230-420)> > Reverse T3 52H (11-32) - a different measure I know> > RT3 ratio of 5?> > > > My ferritin ratio in December was 60. I also showed low in testosterone and Dr. Friedman said testosterone was needed for conversion so I am on some of that. My progesterone tested on the high end 915 (less than 10-2555). But I was supplementing a small amount, I mean really small and I find it hard to believe it was driving it up so much. > > > > Ifeel like I might be low is estrogen and will have it tested but some of my headaches are due to the drop in estrogen at ovulation and period. And I am struggling through my period each month. > > > > Does high progesterone/low testosterone point to insulin resistance?> > > > I do know that my SHBG has gone up from 27 to 39. Iknow low SHBG is indicatove of insulin resistance. I also red that higher does of thyroid raise SHBG...maybe its gone too high> > > > Some signs point below to diabetes or insulin resistance which I have tested for a year ago borderline. My fasting glucose is below> > > > Changes in Glucose since starting NT> > Feb 2010 70 (70-110) - post NT - hope I am not hypoglycemic as a precursor to diabetes> > > > Dec 2090 91 (65-99) - pre NT> > > > I do have that fat around the middle but fasting insulin in Dec was 7 (range of less than 17) so it looked ok...but I know fasting can be misleading. Can the addition of NT change things so drastically? And at such a low dose? My AC1 is 5.5 in which non diabetic is less than 6.0 but I do know that I am likely glucose impaired and insulin resistant because of a test over a year ago that the doc will not repeat. > > > > Latley I struggle with significant headaches and muscle spasms (could be a pinched nerve) but I wonder if also could be hypothyroid and or metabolic acidosis (ie insulin resistance) > > > > Ok some more tests that I find intereting as it relates to muscle spasms etc. > > > > Electrolytes> > Feb 2010> > Sodium 140 (135-145)> > Potassium 3.8 (3.5-5.0)> > Also my chloride tested low at 97 (range of 101-111)..I looked up low chloride and it could mean adrenal deficiency (possibly right), intestal obstruction (not likley) or metabolic acidosis with diabetes (also possible) - back to the insulin resistant issue. > > > > December 2090> > Sodium 141> > Potassium 4.3> > > > Look at the change since starting NT. I especially struggle with fluid issues around my menstrual cycle. > > > > They also checked something called an anion gap which tested at 18. Apparently normal is 9. HIgh anion gap means metabolic acidosis. I am too acidic? Although iron supplementation can also raise the anion gap as does aspirin. But it also says that low sodium and potatssium and calcium and magnesium which I am low in all can cause a high anion gap. BUt why am I so low in all these minerals/electrolytes? > > > > What also worried me was the rise in liver enzymes> > > > Feb 2010> > ALT 23 (less 46)> > AST 42 Less than 53)> > > > Decemeber 2009 -ranges are slightly different)> > ALT 13 (6-40)> > AST 12 (10-35)> > > > I have guessed for some time that my liver is sluggish and I know it gets worse the more hypo you are. And I need to do something to clear it. I know B vitamins are important to liver and thyroid but I have to tell you I have a hard time tolerating them as they hit my system and the muscle spasms start. Any suggestion on improving the liver? > > > > Last I believe that I do have a candida issue. I'll be honest my diet has been crap and I mean crap! Especially over the holidays. Too many sweets. Candida can throw off everything right? Thryoid, liver, sex hormones? Plus I just finished a round of prednisone for the cluster headaches which did not help the candida situation. > > > > Ok I know this was a lot but I appreciate any information.> >>

[Guest guest]

>Bumping up for a response?

Val may be able to help with the glucose issues, I can't

Nick

--

for more information on RT3 and Thyroid Resistance go to

www.thyroid-rt3.com